Healthcare Provider Details
I. General information
NPI: 1265357982
Provider Name (Legal Business Name): VICTOR ALEXANDER COLLINS-WRIGHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
222 SE 8TH AVE STE 551
HILLSBORO OR
97123-4218
US
IV. Provider business mailing address
2297 N KAMIAKAN DR
CORNELIUS OR
97113-7398
US
V. Phone/Fax
- Phone: 503-352-7373
- Fax:
- Phone: 503-858-4165
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 124Q00000X |
| Taxonomy | Dental Hygienist |
| License Number | |
| License Number State | OR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: